Quality Report


Quality Report

Saint Cloud Hospital

DBA: Saint Cloud Hospital
HCO ID: 8183
1406 Sixth Avenue North
Saint Cloud, MN, 56303
(320) 251-2700
www.centracare.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
9/30/2022
Last Full Survey Date
9/29/2022
Last On-Site Survey Date
9/29/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/20/2024
Last Full Survey Date
9/30/2022
Last On-Site Survey Date
2/19/2024
Gold Seal
Laboratory
Accreditation Decision
Effective Date
12/22/2022
Last Full Survey Date
12/21/2022
Last On-Site Survey Date
12/21/2022

Sites

Centracare - Becker: Physical Therapy Services Only
12800 Rolling Ridge Road
Becker, MN, 55308

Available Services

  • Outpatient Clinics (Outpatient )

CentraCare Family Health Center
1555 Northway Drive
Saint Cloud, MN, 56303

Available Services

  • General Laboratory Tests

CentraCare-Midsota - St. Cloud Hospital
DBA: Adult Behavioral Health
3701 12th Street North, Suite 206
Saint Cloud, MN, 56303

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

CentraCare-Midsota- St. Cloud Hospital
DBA: Adult Addiction Services

Saint Cloud, MN, 56303

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )

Saint Cloud Hospital
DBA: CentraCare Wound Center
2035 15th Street North, Suite 130
Saint Cloud, MN, 56303

Available Services

  • Outpatient Clinics (Outpatient )

Saint Cloud Hospital
DBA: Clara's House
1564 Cty Rd 134
Saint Cloud, MN, 56303

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Saint Cloud Hospital
DBA: Adult Partial Hospitalization Program
1900 CentraCare Circle
Saint Cloud, MN, 56303

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Other Clinics/Practices Located at This Site:

  • Intensive Outpatient Program

Saint Cloud Hospital
DBA: Saint Cloud Hospital
1406 Sixth Avenue North
Saint Cloud, MN, 56303

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Peer Support (Non 24 Hour Care )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Other Clinics/Practices Located at This Site:

  • Centracare-St. Cloud Hospital Pediatric Outpatient Services
  • EmPATH Behavioral Health Observation Unit
  • Observation Unit
  • Perinatology Clinic

Saint Cloud Hospital Decentralized Lab
1406 Sixth Ave North
Saint Cloud, MN, 56303

Available Services

  • General Laboratory Tests

St. Cloud Hospital Adolescent Addiction Services

Saint Cloud, MN, 56303

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Child/Youth )
  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Chemical Dependency (Day Programs - Child/Youth )
  • Chemical Dependency (Partial Hospitalization - Child/Youth )
  • Chemical Dependency (Non-detox - Child/Youth )

St. Cloud Hospital Behavioral Health Adult Plaza
1900 CentraCare Circle Suite 2475
Saint Cloud, MN, 56303

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

St. Cloud Hospital Behavioral Health Child & Adolescent Plaza
1900 CentraCare Circle Suite 1000
Saint Cloud, MN, 56303

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

St. Cloud Hospital Outpatient/Health Plaza
1900 CentraCare Circle
Saint Cloud, MN, 56303

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Adult and Pediatric Outpatient Rehabilitation
  • Breast Center
  • Coborn Cancer Center to Include Infusion, Clinic, and Radiat
  • Diagnostic Radiology to include CT, MRI, Ultrasound, Nuclear
  • GI Clinic
  • Infusion Clinic
  • Outpatient Endoscopy
  • Rheumatology Clinic

St. Cloud Hospital Sleep Center
1586 County Road 134
Saint Cloud, MN, 56303

Available Services

  • Outpatient Clinics (Outpatient )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Behavioral Health Care and Human Services 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2024 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.